Solid fuel use is associated with anemia in children

被引:28
作者
Accinelli, Roberto A. [1 ,2 ]
Leon-Abarca, Juan A. [2 ]
机构
[1] Hosp Cayetano Heredia, San Martin De Porres, Peru
[2] Univ Peruana Cayetano Heredia, Fac Med Alberto Hurtado, Inst Invest Altura, Av Honorio Delgado 430, Lima 15102, Peru
关键词
IRON-DEFICIENCY ANEMIA; INDOOR AIR-POLLUTION; PARTICULATE MATTER; SYSTEMATIC ANALYSIS; BIOFUEL SMOKE; BIOMASS FUELS; INFLAMMATION; INFECTION; IMPACT; COUNTRIES;
D O I
10.1016/j.envres.2017.06.032
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Over 3 billion people use solid fuels as a means of energy and heating source, and 50% of households burn them in inefficient, poorly ventilated stoves. In 2010, 43% of the 640 million preschool children in 220 countries suffered from a certain degree of anemia, with iron deficiency as the main cause in developed countries whereas its causes remained multifactorial in the undeveloped group. In this study, we exklore the relations of country-wide variables that might affect the people's health status (from socioeconomic status to more specific variables such as water access). We found independent relationship between solid fuel use and anemia in children under five years old (p < 0.0001), taking into account the prevalence of anemia in pregnant woman and the access to improved water sources. Countries in which the population uses solid fuel the most have over three times higher anemia rates in children than countries with the lowest prevalence of solid fudIs use. There is still a complex relationship between solid fuels use and anemia, as reflected in its worldwide significance (p < 0.05) controlled for measles immunization, tobacco consumption, anemia in pregnant mothers, girl's primary education, life expectancy and improved water access but not (p > 0.05) when weighing for sanitation access or income per capita.
引用
收藏
页码:431 / 435
页数:5
相关论文
共 73 条
[1]  
Aftab S., 2012, Pakistan Journal of Medical Research, V57, P5
[2]  
Agarwal K., 2011, NATL J INTEGR RES ME, V2, P29
[3]   Anemia in low-income countries is unlikely to be addressed by economic development without additional programs [J].
Alderman, Harold ;
Linnemayr, Sebastian .
FOOD AND NUTRITION BULLETIN, 2009, 30 (03) :265-269
[4]   Anemia of inflammation: the cytokine-hepcidin link [J].
Andrews, NC .
JOURNAL OF CLINICAL INVESTIGATION, 2004, 113 (09) :1251-1253
[5]  
[Anonymous], 2014, Deaths from household air pollution
[6]  
[Anonymous], 2011, Indoor air pollution and household energy
[7]  
[Anonymous], GLOB DAT CHILD GROWT
[8]  
[Anonymous], EXCL BREASTF 6 MONTH
[9]  
[Anonymous], Life expectancy at birth, total (years)-Lebanon
[10]  
[Anonymous], 2015, PROGR SAN DRINK WAT